Embodiments disclosed herein relate to systems, devices and methods for monitoring dimensional changes in medical devices attached to or implanted in the body, such as wound fillers. Disclosed embodiments may facilitate measuring the degree of wound closure by incorporating conductive elements into the wound filler. In some embodiments, the conductive elements may be conductive filler, a flexible conductive element, or an arrangement of discrete non-flexible conductive elements. The density of conductive material in an area or volume of the wound filler upon wound closure may be detected by a detection device that assesses the local dielectric constant of the wound filler, such as through use of a capacitive plate, or by a detection device that measures the resonant frequency of a conductive element.